What would happen if the US made the enhanced premium subsidies in the American Rescue Plan Act permanent and extended the marketplace subsidies that fill the #Medicaid “coverage gap” in 12 states?
A thread.
According to a new analysis from @UrbanInstitute and @CommonwealthFnd, adopting these #healthinsurance reforms would reduce the number of people without insurance by nearly one-quarter in 2022 – falling by 7 million, from 30.3 million to 23.3 million
Adopting these reforms could improve the lives of 5.8 million uninsured adults living in the 12 nonexpansion states who have incomes too high for #Medicaid but not high enough to qualify for marketplace premium subsidies.
This new analysis also finds that the reforms would lower the number of uninsured Black Americans under 65 by 33.5%.
The number of uninsured nonelderly whites would fall by 27%, and for nonelderly people of Latino/Hispanic ethnicity the number without coverage would fall by nearly 16%.
Marketplace premiums would fall by an estimated 18% given the influx of young and healthy people into the marketplaces. Household spending on premiums is estimated to fall by $8.8 billion in 2022 if both reforms were implemented.
Of course, household spending on out-of-pocket costs for health care services would increase, by estimated $7.0 billion in 2022, as more people get health care. Combined with premium savings, overall, households would save an estimated $1.8 billion.
The new report looks at the effects of these two reforms on insurance coverage by race/ethnicity, income, and state; federal spending and the deficit; and household spending.
Find it here: buff.ly/3jYUC0t
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What did health insurance coverage look like for U.S. adults in the first half of 2020 as the country slid into the worst public health and economic crises in generations?
See our latest @CommonwealthFnd Biennial Health Insurance Survey commonwealthfund.org/publications/i…
Conducted since 2001, the Biennial uses three measures to gauge the adequacy of insurance coverage:
•whether people have insurance
•if insured, whether they had a gap in coverage in last year
•if insured, whether out-of-pocket costs & deductibles leave them underinsured
In the first half of 2020, 43.4% of U.S. working age adults were inadequately insured: 12.5% were uninsured, 9.5% were insured but had a gap in coverage in the past year, 21.3 percent were underinsured, all statistically unchanged from 2018.
The Trump Administration’s support for invalidating the pre-existing condition protections of the ACA has triggered some odd reminiscences of what the pre-ACA individual market looked like. commonwealthfund.org/blog/2018/two-…
Some have even said that the market worked better then.
To refresh our memories, I looked back at the Commonwealth Fund Biennial Health Insurance Survey of 2010, before the ACA individual market reforms of 2014.